Individual provider Active NPI

Vanessa Leigh Seidell, RPA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1760717599
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00785900 Issued in NJ
Practice address
380 2ND Ave
10TH Floor Suite 1000
New York, NY 10010-5615
Phone
(212) 254-3570
NPI assigned
Oct 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00785900 NJ Primary
Medical Physician Assistant 363AM0700X 25MP00785900 NJ
Medical Physician Assistant 363AM0700X 0135921 NY

Addresses

Primary practice location

380 2ND Ave
10TH Floor Suite 1000
New York, NY 10010-5615

Mailing address

682 Union St
Apartment #3
Brooklyn, NY 11215-1161
Phone (315) 706-3039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250610003979 NJ Practitioner - Physician Assistant 9335287531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Otolaryngology of NJ, LLCGroup PAC ID 7113820572, 14 clinicians

Practice addresses (Care Compare)

741 Northfield Ave
Suite 104
West Orange, NJ 07052-1104
Phone (973) 243-0600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
013592NYMDClinical Psychologist
0135921NYMDMedical Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1760717599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 UNION ST",
            "address_2": "APARTMENT #3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151161",
            "telephone_number": "315-706-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 2ND AVE",
            "address_2": "10TH FLOOR SUITE 1000",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105615",
            "telephone_number": "212-254-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDELL",
        "first_name": "VANESSA",
        "middle_name": "LEIGH",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-13",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00785900",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00785900",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "0135921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.